Terms and Conditions: Informed Consent Agreement of Liability Release and Waiver
 

“The following Release and Waiver of Liability agreement was drafted based on Illinois law. Please check with local counsel prior to using the enclosed Release in your own membership agreement for any applicable modifications.”

 

I hereby agree to the following:

1. That I am participating in the Pole Dancing & Yoga Classes, Programs or Workshops offered by Aerial Graffiti, LLC (dba Fly Club), during which I have received information and instruction about health and fitness. I recognize that fitness programs require physical exertion that may be strenuous and may cause physical injury. I am fully aware of the risks and hazards involved have agreed to participate in an exercise program.
 

2. I understand that Pole Dancing and Yoga are forms of physical activity with the purpose of increasing my body awareness, core strength, balance, breath control, overall strength and flexibility, and to help foster self confidence. The exercises may be done on a mat, floor, or with quality equipment designed for this purpose. I understand that whether I am working in a private or group session, my instructor has my best interest in mind and I will communicate if an exercise is uncomfortable at any time. I agree to listen to my instructor and heed all warnings, cautions, and instructions during all workouts to ensure my safety. I understand that exercises on Pole Dancing & Yoga equipment has risks. I accept these risks and do not hold the instructor or studio responsible should any injury result in relation to said equipment.
 

3. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in Pole Dancing & Yoga Classes, Programs, or Workshops. I recognize that exercise carries some risk to the musculoskeletal system (sprains, strains) and the cardio-respiratory system (dizziness, difficulty breathing, heart strain). I hereby acknowledge and accept these risks. I agree to inform my instructor immediately should I start to feel unwell during the exercise. To my knowledge, I have neither limiting physical conditions nor disability that would preclude an exercise program. I represent and warrant that I am physically fit.
 

4. In consideration of being permitted to participate in Pole Dancing & Yoga Classes, Programs, or Workshops, I agree to assume full responsibility for any risks, injuries, or damages, known or unknown, which I might incur as a result of participating in the program.
 

5. In consideration of being permitted to participate in Pole Dancing & Yoga Classes, Programs, or Workshops, I knowingly, voluntarily, and expressly waive any claim I may have against Aerial Graffiti, LLC (dba Fly Club) for injury or damages I may sustain as a result of participating in the program.

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6. I, my heirs, or legal representatives forever release, waive, discharge, and covenant not to sue Aerial Graffti, LLC (dba Fly Club) for any injury or death caused by their negligence or other acts.

 

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